Ours usually have a PCEA for 24 - 48 hours (hourly obs!!!) an then go on to
BD voltaren PR plus panadeine, panadeine forte, panadol, or digesic prn.
They can also have pethidine if needed but not with the PCEA.
We don't seem to have a standard regime and much depends upon the doc of the
day, or anaesthetist.
Havn't noticed much problems in the way of breastfeeding, other than C/S
usually lactate a bit later than normal.
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"
Edmund Burke
----- Original Message -----
From: "sally williams" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, June 22, 2005 7:25 PM
Subject: Re: [ozmidwifery] post LUSCS analgesia
The angst is about using oxycontin and endone, which are opiates. What are
others experiences or thoughts on these, especially with regards to their
effects on breastfeeding.
Thank you Janet, for sharing your experience. I don't think the obs ever
think of that!
Sally
----- Original Message -----
From: "Tanya Fleming" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Thursday, June 23, 2005 2:41 PM
Subject: Re: [ozmidwifery] post LUSCS analgesia
Our women come back from theatre with only an IDC insitu, and IVT. No
epidural. Women are given PR Voltaren bd (100mg) and PR Paracetamol (1g)
qid, until eating. Once eating and tolerating diet....(usually within 24
to
36 hours), oral voltaren (50mg) and oral paracetamol are given. The
volataren is only given for a total of 3 days. Paracetamol is weaned as
required...most women are needing less panadol by day 4to 5. I have
found
this to be very effective for pain relief....more effective than leaving
the
epidural in for 24hours, as i have seen in the past.
Tanya
----- Original Message -----
From: "sally williams" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, June 22, 2005 12:51 AM
Subject: [ozmidwifery] post LUSCS analgesia
> Was wondering what other units use as a pain relief regime for women
that
> have had LUSCS. There is much angst in our unit at present, with
midwives
> coming from lots of different hospitals used to different regimes. I am
in
> the process of initiating a pathway for this so that we can adopt a
regime
> that everyone is comfortable with and then putting it to the docs,
> references and all.
>
> Thanks in advance
>
> Sally
>
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